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Permit 1111- CITY OF TIGARD FIRE PROTECTION SYSTEM PERMIT CO MMUNITY DEVELOPMENT Permit #: FPS2011 -00014 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/08/2011 Parcel: 1 S135AB01003 Jurisdiction: Tigard Site address: 10300 SW GREENBURG RD Project: One Lincoln Subdivision: LINCOLN ONE Lot: 0 Project Description: Installation of AES brand low voltage UL fire radio to monitor existing fire panel and existing equipment. For entire building. Contractor: ADVANTAGE PROTECTION INC Owner: LINCOLN CENTER LLC 8510 -C EAST MILL PLAIN BLVD BY SHORENSTEIN PROPERTIES LLC VANCOUVER, WA 98664 555 CALIFORNIA ST 49TH FL SAN FRANCISCO, CA 94104 PHONE: 360- 695 -5072 PHONE: FAX: 360 - 696 -2901 FEES Description Date Amount Specifics: Permit Fee - COM 04/08/2011 $64.54 12% State Surcharge - Building 04/08/2011 $7.74 Type of Use: COM Plan Review - Fire Life Safety - COM 02/15/2011 $25.82 Class of Work: ALT Type of Const: IIB Info Process /Archiving - Sm Sheet (up to 04/08/2011 $5.50 Occupancy Grp: B Height: ft 11x17) Stories: 5 Commercial Sprinkler System: Sprinkler Required: Sprinkler Type: Standpipe Required: Hazard: Density: 0 Design Area: 0 K Factor: 0 Commercial Fire Alarm System: Fire Alarm Required: Yes Alarm Type: Automatic Pull Station Required: Yes Smoke Detectors Req: Battery Calcs Provided: Cut Sheets Required: Yes Total $103.60 Valuations: Required Items and Reports (Conditions) Sprinkler Valuation: $0.00 Residential Square Footage: 0 Fire Alarm Valuation: $950.00 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questi• • • :. C by c. ing 503.232.1987 or 1.800.332.2344. • Issued By: % ` �� , Permittee Signature: I: %�►�' /''_ Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Building Permit Applicatio Fire Protection System RECEIVED 1. OR OFFICE USE ONLY City Received � � /7 5 , o// a/ CI of Tigard Date /B Permit No.: " 13125 SW Hall Blvd., Tigard, OR 97223 F Eg 1 5 2011 plan Review rl Phone: 503.718.2439 Fax: 503.598.1960 Date /B : I� f � NM Other Permit: TIGARD Inspection Line: 503.639 D ate Re ad y /By: WO= ° Iii See Page 2 for Internet: www.tigard- or.gov CITYOFTIGARD Notified Method Al �� I rsj Supplemental Information BUILDING DIVISION v3/ r ; Li TYPE OF `e: f ' REQUIRED DATA: 1- AND 2- FAMILY DWELLING ❑ New construction ❑ Demolition Permit fees* are based on the value of the work performed. Indicate the value (rounded to the nearest dollar) of all ® Addition/alteration/replacement ❑ Other: equipment, materials, labor, overhead, and the profit for the CATEGORY OF CONSTRUCTION MINIM work indicated on this application. ❑ 1- and 2- family dwelling ® Commercial /industrial Valuation: $ ❑ Accessory building 1=I Multi-family Number of bedrooms: ❑ Master builder ❑ Other: Number of bathrooms: JOB SITE INFORMATION AND LOCATION Total number of floors: Job site address: 10300 SW GREENBURG ROAD New dwelling area: square feet City/State /ZIP: TIGARD /OREGON/97223 Garage /carport area: square feet Suite/bldg. /apt. no.: Project name: 1 LINCOLN Covered porch area: square feet Cross street/directions to job site: Deck area: square feet Other structure area: square feet REQUIRED DATA: COMMERCIAL -USE CHECKLIST Subdivision: f Lot no.: Permit fees* are based on the value of the work performed. Tax map /parcel no.: Indicate the value (rounded to the nearest dollar) of all equipment, materials, labor, overhead, and the profit for the DESCRIPTION OF WORK work indicated on this application. INSTALLATION OF AES BRAND LOW VOLTAGE UL FIRE RADIO TO MONITOR Valuation: $950 EXISTING FIRE PANEL AND EXISTING EQUIPMENT Existing building area: square feet New building area: square feet ® PROPERTY OWNER ❑ TENANT Number of stories: Name: Lincoln Center, LLC Type of construction: Address: PO Box 541 Occupancy groups: City/State/ZIP: Arlington/ VA/ 22216 Existing: Phone: (503)619 -3100 Fax: ( ) New: Eg APPLICANT ® CONTACT PERSON NOTICE Business name: Advantage Protection, Inc. All contractors and subcontractors are required to be Contact name: Jason Keller licensed with the Oregon Construction Contractors Board under ORS 701 and may be required to be licensed in the Address: 8510 -C East Mill Plain Blvd jurisdiction in which work is being performed. If the City/State /ZIP: Vancouver/ WA/ 98664 applicant is exempt from licensing, the following reasons apply: Phone: (360) 695 -5072 Fax: : (360) 696 -2901 E -mail: jasonkeller @advproinc.com CONTRACTOR BUILDING PERMIT FEES* Business name: Advantage Protection, Inc. (Please refer to me rh¢dute) Permit fee: Address: 8510 -C East Mill Plain BLvd City/State /ZIP: Vancouver/ WA/ 98664 State surcharge (12% of permit fee): FLS plan review (40% of permit fee): Phone: (360) 695 -5072 Fax: (360) 696 -2901 (Due upon application.) CCB lic.: 114312 Total permit fees: Authorized signature: VAti,, Amount received: ;25 This permit application expires if a permit is not obtained Print name: "SQSOh `K Date: 1/4)cli fl * Fee methodology set by Tri-County Building Industry Service Board. I:\ Building \Pemtits\FPS- PermitApp.doe 02/01/11 440- 4613T(11ro2/COM/WEB) City of Tigard: Fire Protection Permit Checklist Page 2 - Supplemental Information Describe work to be done: 1.) ❑ New 2.) Modification to sprinkler heads only: ® Addition ❑ 1 -10 heads: No plan review required. Z Alteration ❑ 11+ heads: Plan review required. ❑ Repair Number of sprinkler heads: Additional description of work: Type of System (Complete A, 13, C or D as applicable): A.) Commercial Sprinkler ❑ A et ❑ Dr} Additional Standpipes Information: Hazard Group Density Design Area K. Factor Sprinkler Project Valuation: $ Hood Project Valuation: $ Ti . C.) Fire Alarm Submittal shall Battery Calculations ® Yes include: Individual Component ® Yes Cut Sheets Fire Alarm Project Valuation: $ 950 D.) Residential Sprinkler (Stand Alone System) Square Footage: Permit Fee: 0 to 2,000 $198.75 2,001 to 3,600 $246.45 3,601 to 7,200 $310.05 7,201 and greater $404.39 Sprinkler Project Square Footage: sq. ft. Fire Protection Permit Fees Project valuation subtotal (see A, B & C above): $ Permit fee based on project valuation (see fee schedule): $ Permit fee based on square footage (see D above): $ State Surcharge (12% of permit fee): $ FLS Plan Review (40% of permit fee): $ TOTAL: $ Plan review requires a completed application and 2 sets of plans at submittal. Plan review fees are required at submittal. http: / /www.tigard- or.gov/ city_ hall / departments /cd /docs /FPS - PermitApp.doc 02/01/g F 3a °II— oac sa,19 FUNDAMENTALS OF FIRE ALARM SYSTEMS 72 - FIRE ALARM SYSTEM RECORD OF COMPLETION To be completed by the system installation contractor at the time of system acceptance and approval. 1. PROTECTED PROPERTY INFORMATION Name of property: v n L L∎ n c o i n Address: J. 0 3 SW Gr't.` 6 urz R00.ot � Description of propert.: C err /`C'1' 1 G e t' Iry ► hQ e Occupancy type: 5' 03 t �l1 a s3 / 1 ( e e u t J Of f 4I G&S Name of pro erty representative: L 1 r G OAY1 11C.14 e 1 j L L Address: 0 c/%•0 SW G re stn b v t Pock. s4G 31 O Phone: Fax: E -mail: Authority having jurisdiction over this property: (' 4 y O TI n o<<el Phone: Fax: E -mail: 2. FIRE ALARM SYSTEM INSTALLATION, SERVICE, AND TESTING INFORMATION Installation contractor for this equipment: AA V 41A't 4 q e. Pr5ck t G 101x1 111 C.. Address: 8510-Z F4S/ .44;11 Phi ;V kV 61 V•►vi cot, Vet' WA Phone: 3 60 6 9S-SO 1lf Fax: 3 696-IV /E -mail: Service organization for this equipment: (SA WIC QS a 6OVe) Address: Phone: Fax: E -mail: Location of as -built drawings: N g 14 Location of historical test reports: Location of system operation and maintenance manuals: N SA A contract for test and inspection in accordance with NFPA standards is in effect as of ~ //4 Contracted testing company: 4 /.4 Address: Phone: Fax: E -mail: Contract expires: Contract number: Frequency of routine inspections: 3. TYPE OF FIRE ALARM SYSTEM OR SERVICE cc NFPA 72 Chapter Reference of System Type: Kr i. G41 O Y1 S . 6. 3. 5 Name of organization receiving alarm signals with phone numbers (if applicable): Alarm: f! o f VAr1Tw a £ ATG 41 -ion .1. n .. Phone: 3 E!0 - 6 Q� - SO 7a Supervisory: Phone: 1 Trouble: Phone: Entity to which alarms are retransmitted: Y10 h G Phone: Method of retransmission of alarms to that organization or location: © 2007 National Fire Protection Association NFPA 72 (p. 1 of 5) 2007 Edition iii 72 —:i4 NATIONAL FIRE ALARM CODE 3. TYPE OF FIRE ALARM SYSTEM OR SERVICE (continued) If Chapter 8, note the means of transmission from the protected premises to the central station: 0 Digital alarm communicator ❑ McCulloh ❑ Multiplex 0 2 -way radio X1 -way radio ❑ N/A If Chapter 9, note the type of connection: l ie Local energy U Shunt U N/A 3.1 System Software Operating system (executive) software revision level: N/A Site - specific software revision date: Revision completed by: 4. SIGNALING LINE CIRCUITS Characteristics of signaling line circuits connected to this system (see NFPA 72. Table 6.6.1): Quantity: Style: Class: 5. ALARM - INITIATING DEVICES AND CIRCUITS Characteristics of initiating device circuits connected to this system (see NFPA 72, Table 6.5): Quantity: Style: Class: 5.1 Manual Initiating Devices 5.1.1 Manual Pull Stations Number of manual pull stations: Type of devices: ❑ Addressable 0 Conventional ❑ Coded 0 Transmitter 0 N/A 5.2 Automatic Initiating Devices 5.2.1 Area Smoke Detectors Number of smoke detectors: Type of coverage: U Complete area ❑ Partial area U Nonrequired partial area 0 N/A Type of devices: U Addressable U Conventional U Coded 0 Transmitter 0 N/A Type of smoke detector sensing technology: ❑ Ionization 0 Photoelectric 5.2.2 Duct Smoke Detectors Number of duct smoke detectors: Type of coverage: Type of devices: 0 Addressable ❑ Conventional 0 Coded 0 Transmitter 0 N/A Type of smoke detector sensing technology: O Ionization 0 Photoelectric 5.2.3 Heat Detectors Number of heat detectors: Type of coverage: 0 Complete area 0 Partial area 0 Nonrequired partial area U N/A Type of devices: ❑ Addressable 0 Conventional ❑ Coded U Transmitter ❑ N/A 5.2.4 Sprinkler Waterflow Detectors Number of waterflow detectors: Type of devices U Addressable 0 Conventional 0 Coded Cl Transmitter 0 N/A 5.2.5 Alarm Verification Number of devices subject to alarm verification: Alarm verification on this system is: ❑ Enabled U Disabled ❑ Set for seconds C 2007 National Fire Protection Association NFPA 72 (p. 2 of 5) gi 2007 Edition FUNDAMENTALS OF FIRE ALARM SYSTEMS 72 -35 6. SUPERVISORY SIGNAL - INITIATING DEVICES AND CIRCUITS 6.1 Sprinkler System Number of valve supervisory switches: Type of devices: 0 Addressable ❑ Conventional U Coded ❑ Transmitter 0 N/A 6.2 Fire Pump Type of lire pump: ❑ Electric 0 Diesel Type of fire pump supervisory devices: Cl Addressable ❑ Conventional 0 Coded O Transmitter U N/A Fire Pump Functions Supervised ❑ Fire pump power ❑ Fire pump running ❑ Fire pump phase reversal 0 Selector switch not in auto O Engine or control panel trouble O Low fuel Other: 6.3 Engine-Driven Generator Type of generator supervisory devices: O Addressable ❑ Conventional ❑ Coded ❑ Transmitter ❑ N/A ❑ Engine or control panel trouble 0 Generator running ❑ Selector switch not in auto O Low fuel Other: 7. ANNUNCIATORS 7.1 Annunciator 1 ❑ Local 0 Remote Type: U Addressable ❑ Directory O Graphic 0 N/A Location: 7.2 Annunciator 2 O Local ❑ Remote Type: ❑ Addressable 0 Directory ❑ Graphic ❑ N/A Location: 7.3 Annunciator 3 U Local ❑ Remote Type: 0 Addressable 0 Directory Cl Graphic O N/A Location: 8. ALARM NOTIFICATION DEVICES AND CIRCUITS 8.1 Emergency Voice Alarm Service Number of single voice alarm channels: Number of multiple voice alarm channels: Number of speakers: Number of speaker zones: 8.2 Telephone Jacks Number of telephone jacks installed: Number of telephone handsets stored on site: Type of telephone system installed: O Electrically powered U Sound powered ❑ N/A 8.3 Nonvoice Audible System Characteristics of notification device circuits connected to this system. (see NFPA 72, Table 6.5): Quantity: Style: Class: © 2007 National Flre Protection Association NFPA 72 (p. 3 of 5) 2007 Edition 0 72 -36 NATIONAL FIRE ALARM CODE 8. ALARM NOTIFICATION DEVICES AND CIRCUITS (continued) 8.4 Types and Quantities of Nonvoice Notification Appliances Installed Bells: With visual device: Horns: With visual device: Chimes: With visual device: Bells: With visual device: Visual devices without audible devices: Other (describe): 9. EMERGENCY CONTROL FUNCTIONS ACTIVATED 0 Hold -open door releasing devices 0 Smoke management or smoke control 0 Door unlocking ❑ Elevator recall ❑ Other 10. SYSTEM POWER SUPPLY 10.1 Primary Power Nominal voltage Amps Overcurrent protection: Type Amps Location (of primary supply panelboard): Disconnecting means location: 102 Secondary Power Location: Type: Nominal voltage: Current rating: Number of standby batteries: Amp hour rating: Location of emergency generator: Location of fuel storage: Calculated capacity of secondary power to drive the system In standby mode: In alarm mode: X 11. RECORD OF SYSTEM INSTALLATION Fill out after all installation is complete and wiring has been checked for opens, shorts, ground faults, and improper branching, but before conducting operational acceptance texts. The system has been installed in accordance with the following NFPA standards: (Note any or all that apply.) -NFPA 72 A NFPA 70, National Electrical Code, Article 760 91-Manufacturer's published instructions ❑ Other (please specify): System devi :. `• ed NFPA standards: /, Si �� Printed name: l C ' Se/ Date: i( 1 I 1/ Organize on: 1✓• ' er ON Title: (AO/ : "'4 Phone: ? Fel9- 1200 12. RECORD OF SYSTEM OPERATION All operational features and functions of this system were tested by or in the presence of the signer shown below, on the date shown below, and were found to be operating properly in accordance with the requirements of: O NFPA 72 ❑ NFPA 70, National Electrical Code, Article 760 O Manufacturer's published instructions ❑ Other (please specify): ❑ Documentation in accordance with Inspection and Testing Form (Figure 10.6.2.3) is attached Signed: Printed name: Date: Organization: Title: Phone: © 2007 National Fire Protection Association NFPA 72 (p. 4 of 5) 1""1 2007 Edition c ' • FUNDAMENTALS OF FIRE ALARM SYSTEMS 72 13. CERTIFICATIONS AND APPROVALS 13.1 System Installation Contractor This system as specified herein has been installed and tested according to all NFPA standards cited herein. Signed: Printed name: Date: Organization: Title: Phone: 13.2 System Service Contractor This system as specified herein has been installed and tested according to all NFPA standards cited herein. Signed: Printed name: Date: Organization: Title: Phone: X 13.3 Central Station This system as , - • ci1ii be monitored according to all NFPA standards cited herein. 7 , `o l ' v4/� Date: /1 Sign` . �� � Printed name: � /1/7/ Organization: / InA.A, kVA, Pft44C :eNiFitle: ( (4'b "s ,i(An Phone: 3eop -90 - -72 0 6 13.4 Property Representative I accept this system as having been installed and tested to its specifications and all NFPA standards cited herein. Signed: Printed name: Date: Organization: Title: Phone: 13.5 Author' ' Having Jurisdiction I have with. : •ed a satisfac • : cceptance test of this system and find it to be installed and operating properly in accorda , • • 'th•pro - , plans and specifications, its approved sequence of operations, and with all NFPA standard. =d herei Signer . 4 A fit._ z. • ted name: t MiP ) 'J(1 Date: /1-9- Orga i,' ation: 13i 14 Ian Titl it../ii IJ(A IA S/ Phone: 9/(9-2.4y7 C 2007 National Fire Protection Association NFPA 72 (p. 5 of 5) 2007 Edition >tril umoo1uO :apnligbuo 6 TTO3 92:43:40 4 AoN uoW :uo paATaza8 Ispl umou1uO :apn1T1p1 ^ palzalaO llnpJ oN :ap fl:npJ ^ q : uo 34aN umou1uO amTl SlA ^Z :Aa'<pl AuTl v9^3 :^a8 ^ 8844 :lapoW ^ :adXl ^uO dp�TlIaluI ^J40 vn3 auoqd ^uO buTvpada8 :sIT8 apoW O 0 0 0 0 9ggg 830g TOOV T TTO3 0g:83:30 33 1 1pS O 0 0 0 0 4ggg 830g TOOV 3 TTOJ 8T:63:80 93 1 Poll O 0 0 O 0 0 4ggg 300V 40g TTO3 20:4t,:gI 9 /`o «nS O O 0 0 0 0 4ggg TOOV 2T4 ITO3 92:43:40 4 AoN uoW 8(I z.OI 9(I qOI V(I 2(I ZOI TOI XzuanbaJj amql/aVpO 6T:.N0000 J bufl-no8 ^ ,